MK Camp Registration Form

MK Camp Registration Form

Please fill out the required details for camp registration and transportation arrangements.
Parent's Full Name

First and Middle NameLast Name
Parent's Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent's Phone Number

Area CodePhone Number
Parent's Email Address
example@example.com
Camper's Full Name

First NameLast Name
Camper's Age
Camper's Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Camper's Gender
How will the camper be arriving?
What day will you be arriving by train? (Camp starts on August 3rd at 11:00 am)

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Please e-mail us the day before departure with the time the camper needs to be picked up at the train station as well as when the camper needs to be dropped off at the end of the week.
Planned Date and Time of Arrival
Please select your planned arrival date and time. (Camp starts on August 3, 11:00 am)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
How will the camper be leaving?
What day will you be leaving by train? (Camp ends on August 7th at 4:00 pm)

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Planned Date and Time of Leaving
Please select your planned departure date and time. (Camp ends on August 7, 4:00 pm)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
***If your arrival or departure is 'to be decided', please let us know as soon as possible by e-mail.***
How many siblings will you register?
1st Sibling's name

First and Middle NameLast Name
1st Sibling's Age
1st Sibling's Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
1st sibling’s gender
2nd Sibling's name

First and Middle NameLast Name
2nd Sibling's Age
2nd Sibling's Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
2nd sibling’s gender
3rd Sibling's name

First and Middle NameLast Name
3rd Sibling's Age
3rd Sibling's Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
3rd sibling’s gender
4th Sibling's name

First and Middle NameLast Name
4th Sibling's Age
4th Sibling's Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
4th sibling’s gender
5th Sibling's name

First and Middle NameLast Name
5th Sibling's Age
5th Sibling's Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
5th sibling’s gender
Are there any allergies?
Special needs / Any other information (i.e. medication, birthdays during the week, concerns, information you would like us to know, etc)
Should be Empty: